Provider Demographics
NPI:1972085926
Name:COMPASSIONATE PRIMARY CARE SERVICES PLLC
Entity type:Organization
Organization Name:COMPASSIONATE PRIMARY CARE SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MUNIER
Authorized Official - Middle Name:A
Authorized Official - Last Name:EL-BECK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-851-0500
Mailing Address - Street 1:30000 ORCHARD LAKE RD STE B
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2252
Mailing Address - Country:US
Mailing Address - Phone:248-851-0500
Mailing Address - Fax:248-851-6006
Practice Address - Street 1:30000 ORCHARD LAKE RD STE B
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2252
Practice Address - Country:US
Practice Address - Phone:248-851-0500
Practice Address - Fax:248-851-6006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-05
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty